Charles Randolph Fisk in Bonney Lake - Massage Therapist
Charles Randolph Fisk - NPI 1275719494
Charles Randolph Fisk is a Massage Therapist in Bonney Lake, Washington. Charles Randolph Fisk practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Charles Randolph Fisk is 1275719494. The last update date is 2010-11-18.
Charles Randolph Fisk's current location address is 18124 114th St E, Bonney Lake, Washington. You can contact this provider via phone number 2532295819. The mailing address for Charles Randolph Fisk is 18124 114th St E, Bonney Lake, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Randolph Fisk |
|---|---|
| Address | 18124 114th St E, Bonney Lake, Washington |
| Phone Number | 2532295819 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMP |
NPI Number Detail
| NPI Number | 1275719494 |
|---|---|
| Provider Enumeration Date | 2008-01-17 |
| Last Updated Date | 2010-11-18 |
Provider Mailing Address Detail
| Address | 18124 114th St E |
|---|---|
| City | Bonney Lake |
| State | Washington (WA) |
| Post Code | 983915168 |
| Phone Number | 2532295819 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MA00017977 |
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Definition: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Charles Randolph Fisk by the Centers for Medicare & Medicaid Services?
The Charles Randolph Fisk has been issued the NPI (National Provider Identifier) 1275719494, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Charles Randolph Fisk is physically located?
The Charles Randolph Fisk is situated at the following address: 18124 114Th St E, Bonney Lake, WA 983915168.
What is the Charles Randolph Fisk's specialty and taxonomy code?
The Charles Randolph Fisk's specialty is Massage Therapist, and the corresponding taxonomy code is 225700000X.
On what date did the Charles Randolph Fisk receive its 1275719494 assignment from the Centers for Medicare & Medicaid Services?
The Charles Randolph Fisk was assigned its 1275719494 by the Centers for Medicare & Medicaid Services on 2008-01-17.
When was the Charles Randolph Fisk's information last updated?
The Charles Randolph Fisk's information was last updated on 2010-11-18.